. Operative gynecology. ydro-cele. 14. Hematoma of the ovary. I have met each of these conditions as complications of first three are rare and merely accidental complications; the fourth is, Ibelieve, unique. The fifth condition is frequently met with, either one or bothovaries containing a large hematoma developing from the corpus luteum. The best plan of operating is to remove the ovarian tumor and the fibroiduterus together. If the ovarian tumor has a long pedicle, this may be simplyclamped and the cyst taken away first; and if it is so large as to be unwieldy,it may
. Operative gynecology. ydro-cele. 14. Hematoma of the ovary. I have met each of these conditions as complications of first three are rare and merely accidental complications; the fourth is, Ibelieve, unique. The fifth condition is frequently met with, either one or bothovaries containing a large hematoma developing from the corpus luteum. The best plan of operating is to remove the ovarian tumor and the fibroiduterus together. If the ovarian tumor has a long pedicle, this may be simplyclamped and the cyst taken away first; and if it is so large as to be unwieldy,it may be emptied before taking it out together with the uterus. The pictureshows a large ovoid fibroid uterus with large dermoid cysts of the left ovary ina patient (J. Q., 3250) operated on Dec. 29, 1891; the whole was removed inone large mass. These operations are difficult only on account of the awk-wardness of handling the tumors; their percentage of mortality ought not tobe greater than that of simple Fig. 502.—Globular Myomatous Uterus oomplioated by Dermoid Cysts oe the Left Recovery. Deo. 12,1894. Longest diameter 32 centimeters. % natural size. 15. Carcinoma of the Ovary.—I have seen three cases of a cancerof the ovary complicating a large fibroid tumor of the uterus. In one of thesecases the pelvic peritoneum was the seat of numerous little sprouting cancerousareas, disseminated from the ovaries. The myomatous uterus was as large asa five months pregnancy. I took out both ovaries and uterus and evacuated alarge amount of ascitic fluid. The patient recovered, but died six months laterwith ascites and large carcinomatous masses filling the abdomen. 380 MYOMECTOJIT—HTSTERO-MYOMECTOMY. Another case was that of a colored woman (E. M., Path. No. 1009, operated?upon Dec. 11, 1895), with a large myoma filling the lower abdomen and risingabov^e the umbilicus, with ascites. The bladder was adherent high up on theanterior face, an
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